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psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - published literature by
MacDonald included 35 cases of tongue or lip lacerations with 1 mandibular fracture
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.284_slideshow.ppt
November 01, 2012 - 9971864
Optimal Transfusion Threshold: Evidence (2)
FOCUS trial randomized 2016 patients undergoing hip fracture
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - Sometimes a confused patient receives a spinal anesthetic during surgery for a hip fracture.
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psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
January 01, 2019 - Spotlight
Spotlight
"Do You Want Everything Done?":
Clarifying Code Status
Source and Credits
• This presentation is based on the December 2019
AHRQ WebM&M Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Karl Steinberg MD, CMD, HMDC & Thaddeus
M…
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - At another hospital, Bolton, the crude mortality for hip fracture operations went up to 25% and we sent … They set up an 8-bed fracture ward , and they employed a full-time orthopedic geriatrician.
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - At another hospital, Bolton, the crude mortality for hip fracture operations went up to 25% and we sent … They set up an 8-bed fracture ward , and they employed a full-time orthopedic geriatrician.
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - Falls
June 15, 2024
Falls. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/falls
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Background
Falls are a common …
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psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 2020 - resident (and supervising attending) evaluated the patient, ordered plain films that showed no evidence of fracture
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psnet.ahrq.gov/node/49608/psn-pdf
August 01, 2010 - Emergent Triage Miss
August 1, 2010
Travers D. Emergent Triage Miss. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/emergent-triage-miss
The Case
A 42-year-old woman presented to a busy urban emergency department (ED) and approached the triage
nurse. The patient told the triage nurse that she had "3 days o…
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - Mason takes care of close to 300, mostly elderly, patients who fall and need urgent surgery for a hip fracture … turned this idea from a provocative question in daily work into vastly improved pain control for hip fracture
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - Mason takes care of close to 300, mostly elderly, patients who fall and need urgent surgery for a hip fracture … turned this idea from a provocative question in daily work into vastly improved pain control for hip fracture
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psnet.ahrq.gov/node/49406/psn-pdf
June 01, 2003 - bathing.”).(10) A
suicidal patient unattended in a bathroom is as risky as a person with a recent hip fracture
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psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - measures such as accidental
punctures/lacerations during a procedure or inpatient fall with a hip fracture
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psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - tension pneumothorax, testicular/ovarian torsion, unexplained
pneumoperitoneum, or unstable spine fracture
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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia
Citation Text:
Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and…
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psnet.ahrq.gov/cme
February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations A man with a history of prior umbilical hernia repair presented to the emergency department (ED) with abdominal pain and was initially diagnosed with cholelithiasis before being discharged home. However, the next day he returned to …
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - are also higher in
institutionalized patients, with 10%-25% of falls resulting in serious injury (fracture
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psnet.ahrq.gov/primer/falls
October 27, 2021 - Falls
Citation Text:
Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
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…
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psnet.ahrq.gov/node/50858/psn-pdf
January 31, 2020 - Artificial Intelligence and Diagnostic Errors
January 31, 2020
Hall KK, Fitall E. Artificial Intelligence and Diagnostic Errors. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
Definition of Artificial Intelligence
The definition of artificial intelligence (…
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - His work-up revealed a T10 burst fracture. … He received neurosurgical treatment for the fracture, but had a complicated post-operative course: aspiration